急性心肌梗死伴睡眠障碍患者90例护理干预临床研究

Nursing intervention on 90 patients with AMI associated with sleep disorder

目的:探讨护理干预对急性心肌梗死(AMI)伴睡眠障碍患者的影响。方法:选择180例AMI伴睡眠障碍患者随机分为观察组和对照组各90例,对照组采用常规护理,观察组在此基础上给予综合护理干预措施;监测两组患者睡眠障碍及心肌耗氧量变化情况,并进行比较。结果:两组睡眠障碍及心肌耗氧量均有明显改善(P<0.01),且观察组较对照组改善更为明显(P<0.01)。结论:对AMI伴睡眠障碍患者进行有针对性的护理干预,能改善患者的睡眠障碍,可明显降低心肌耗氧,从而减轻心脏的负担,有助于AMI患者的康复,改善预后。

Objective： To explore the effect of nursing intervention on patients with acute myocardial infarction（ AMI） associated with sleep disorder. Methods： 180 AMI patients with sleep disorder were randomly divided into the observation group and the control group（ 90 cases in each group）. The routine nursing care was taken in the control group and the extra comprehensive nursing intervention was given to the patients in the observation group,the status of sleep disorder and the change of myocardial oxygen consumption were monitored and compared between the two groups. Results： The status of sleep disorder and myocardial oxygen consumption was improved significantly in the two groups（ P〈0. 01）; the conditions of the patients improved more significantly in the observation group than the control group（ P〈0. 01）. Conclusion： The targeted nursing intervention can effectively alleviate sleep disorder and reduce myocardial oxygen consumption of AMI patients so as to reduce the burden on the heart and improve prognosis of the patients.